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FORTIS INSURANCE ASSOCIATES, LLC

Company Details

Entity Name: FORTIS INSURANCE ASSOCIATES, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 19 Feb 2018
Company Number: LLC_06758193
File Number: 06758193
Type of Management: Manager Managed
Date Status Change: 30 Jan 2024
Address 2516 WAUKEGAN ROAD, SUITE 342, GLENVIEW, 60025, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FORTIS INSURANCE ASSOCIATES 401(K) P/S PLAN 2023 824486409 2024-05-05 FORTIS INSURANCE ASSOCIATES 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 524210
Sponsor’s telephone number 2243018801
Plan sponsor’s address 2700 S RIVER ROAD, SUITE 108, DES PLAINES, IL, 60018

Signature of

Role Plan administrator
Date 2024-05-05
Name of individual signing ROBIN GALLAGHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-05
Name of individual signing ROBIN GALLAGHER
Valid signature Filed with authorized/valid electronic signature
FORTIS INSURANCE ASSOCIATES 401(K) P/S PLAN 2022 824486409 2023-05-09 FORTIS INSURANCE ASSOCIATES 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 524210
Sponsor’s telephone number 2243018801
Plan sponsor’s address 2700 S RIVER ROAD, SUITE 108, DES PLAINES, IL, 60018

Signature of

Role Plan administrator
Date 2023-05-09
Name of individual signing ROBIN GALLAGHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-09
Name of individual signing ROBIN GALLAGHER
Valid signature Filed with authorized/valid electronic signature
FORTIS INSURANCE ASSOCIATES 401(K) P/S PLAN 2021 824486409 2022-07-28 FORTIS INSURANCE ASSOCIATES 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 524210
Sponsor’s telephone number 2243018801
Plan sponsor’s address 2700 S RIVER ROAD, SUITE 108, DES PLAINES, IL, 60018

Signature of

Role Plan administrator
Date 2022-07-28
Name of individual signing ROBIN GALLAGHER
Valid signature Filed with authorized/valid electronic signature
FORTIS INSURANCE ASSOCIATES 401(K) P/S PLAN 2020 824486409 2021-09-15 FORTIS INSURANCE ASSOCIATES 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 524210
Sponsor’s telephone number 2243018801
Plan sponsor’s address 2700 S RIVER RD STE 108, DES PLAINES, IL, 60018

Plan administrator’s name and address

Administrator’s EIN 824486409
Plan administrator’s name FORTIS INSURANCE ASSOCIATES
Plan administrator’s address 2700 S RIVER RD STE 108, DES PLAINES, IL, 60018
Administrator’s telephone number 2243018801

Signature of

Role Plan administrator
Date 2021-09-15
Name of individual signing ROBIN GALLAGHER
Valid signature Filed with authorized/valid electronic signature
FORTIS INSURANCE ASSOCIATES 401(K) P/S PLAN 2019 824486409 2020-06-07 FORTIS INSURANCE ASSOCIATES 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 524210
Sponsor’s telephone number 2243018801
Plan sponsor’s address 2700 S RIVER RD STE 108, DES PLAINES, IL, 60018

Plan administrator’s name and address

Administrator’s EIN 824486409
Plan administrator’s name FORTIS INSURANCE ASSOCIATES
Plan administrator’s address 2700 S RIVER RD STE 108, DES PLAINES, IL, 60018
Administrator’s telephone number 2243018801

Signature of

Role Plan administrator
Date 2020-06-07
Name of individual signing ROBIN GALLAGHER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
SUSAN L. DAWSON, 3030 W SALT CREEK LN. STE 330, ARLINGTON HEIGHTS, 60005 Agent 2021-03-11

Manager

Name and Address Role Appointment Date
GALLAGHER, ROBIN, 2516 WAUKEGAN ROAD, SUITE 342, GLENVIEW, IL, 60025 Manager 2024-01-30

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State